[artsyxxx]

I had to check the definition of hypertension, it seems I'm using the alternate definition being a state of psychological stress. In my case prolonged sitting at the desk in a frustrated state led me to hyper-extend my neck region, kind of puffing out my chest. By the end of the day I would invariably have a ball of pain above my sternum? (right where the nucktie knot goes)

The necktie prevents any pressure from building up there and subtly changes the way one swallows to support the adam's apple. It's very comforting once you get the hang of it but I can understand why people find it uncomfortable, especially if the fit isn't right.

Essentially the tightness afforded by the tie alerts one to the pressure buildup earlier than more 'comfortable' collars which provide less support, thereby allowing one to take a rest or breathe and allow the pressure to dissipate.